Membership Form - 22nd Infantry Regiment Society - PRINT AND MAIL TO ADDRESS BELOW                   

• Name:_________________________________________________________________________

• Address:(PERMANENT)_________________________________________________________

• Address: (APO)__________________________________________________________________

• City: _____________________________________State:_________________Zip:______-_____

• Phone: (_____)___________________e-mail:_________________________________

• New Member: _______ Renewal:______ Change of Address: ______

• I served with the 22nd Infantry in Company :_____________Battalion :______________

• Regiment :__________________Division :_____________________

• Example for above : Company: HHC  Battalion:  2nd  Regiment:  22nd Infantry   Division:  25th

• Date of Birth: ____________________________________________________

• Dates Served in the 22ND :________________________________

• I Served in Support of 22nd Infantry Regiment - Unit and Dates Served :_____________________

• I did not serve/support 22nd Infantry Regiment but want to be an Associate Member : ___

• My dues are enclosed: $10 for date:________ $22 for "Double Deucer" rate for date:_________

• ATTENTION: Double Deucer dues give the same privilege as regular dues but help to defray the costs of sending newsletters to prospective

• members and those who cannot afford to pay. They do not pertain to  2/22  or "Triple Deucer" dues which concern the 2nd Bn activities.  "Deeds Not Words !"

• Special Membership rate of $4 per year is available for active duty soldiers E-5 and below:________

  NOTE: IF YOU ARE DEPLOYED, USE  YOUR PERMANENT HOME ADDRESS ABOVE. NOTE YOUR APO BELOW.

  ___________________________________________________________________________________________

  

- Life Membership -

Life Membership Dues - Amount enclosed: $__________

Mailing Address for Membership Dues 

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